NPIMap

Organization Active NPI

Lake Shore Behavioral Health

  • Private Vehicle
  • Buffalo, NY
National Provider Identifier
1184897258
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
LAKE SHORE BEHAVIORAL HEALTH
Practice address
430 Niagara Street
Transportation
Buffalo, NY 14201
Phone
(716) 856-2587
Fax
(716) 856-2608
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Howard K Hitzel
Title
President
Phone
(716) 842-0440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

430 Niagara Street
Transportation
Buffalo, NY 14201

Mailing address

254 Franklin Street
Lake Shore Behavioral Health
Buffalo, NY 14202
Phone (716) 842-0440

National Provider Directory

National Provider Directory
Tax ID family
Lackawanna Counseling S12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1184897258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 FRANKLIN STREET",
            "address_2": "LAKE SHORE BEHAVIORAL HEALTH",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14202",
            "telephone_number": "716-842-0440",
            "fax_number": "716-842-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 NIAGARA STREET",
            "address_2": "TRANSPORTATION",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14201",
            "telephone_number": "716-856-2587",
            "fax_number": "716-856-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SHORE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "HITZEL",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-842-0440",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.